14-103282 •
iuilding - Single Family
City of Federal Way w
Community&Econ.Dev.Services Permit #: 14-103282-00-S F
33325 8th Ave S
Federal Way,WA 98003 Ins ection Re uest Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p Q
FILE
Project Name: FLETCHER
Project Address: 28804 11TH AVE S Parcel Number: 720580 0070
Project Description: REP-Tear off shake roofing and install CDX plywood sheathing and composition shingle
roofing system.
Owner Applicant Contractor Lender
LINDA FLETCHER HORIZON CONTRACTORS INC HORIZON CONTRACTORS INC
JOHN FLETCHER PO BOX 24449 HORIZCI110KR(5/19/15)
28804 11TH AVE S FEDERAL WAY WA 98093 PO BOX 24449
FEDERAL WAY WA FEDERAL WAY WA 98093
98003
Census Category: 555 -Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Area(sq.ft.) 0 0 0 0
Additional Permit Information •
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Mechanical to be Included No Plumbing to be Included? No
No Fixtures Associated With This Permit!t
PERMIT EXPIRES Saturday, January 3, 2015
Permit Issued on Monday, July 7, 2014
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and t - - v of Federal Way.
Owner or agent: Date: .717�i
PINALED
THIS CARD IS TO .- .MAIN ON-SITE r
CITY°F 0 Construction In _. •ction Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 14-103282-00-SF Address: 28804 11TH AVE S
Project: LINDA FLETCHER FEDERAL WAY, WA 98003-3705
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as
possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
0 Roof Sheathing(4220) 0 Final-Building(4050)
Approved to install roofing pproved
By l 9 S Date 7 l Cr I 1 Date r) -lam
. •
♦ .
❑ Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
. •
Cott Of PERMIT OPPLICREMLON
Federal Way
Q Q JUL 0 3 2014
4
PERMIT NUMBER ' ' _ 32!/
11 TARGET DATE CITY OF FEDERAL WAY
CDS
SITE ADDRESS SUITE/UNIT#
2 Si5.04 ))4 j.,t s Nd-A) LIP1
PROJECT VALUATION ZONING ASSESSOR'S # � ° - Q � `
V _- l//, U
TYPE OF PERMIT ❑/$UILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT 2 I c 1 r
PROJECT DESCRIPTION n�,��W t C/ ]L Cl C^1J �'; Iv r�
Detailed description of work to Ft '" t/ f Cr)C1� y /%tJ G) l)1 cr1
be included on this permit only i' A5kff
NAME Jar, Fit
hill_
I j(/f- PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS C4 E-MAIL
CITY ! STATE ZIP
NAME ►•Av^2.`^ /S. +_, ,.( PHONE2.0 ` 3 5g. 3
MAILING ADDRESS 64G . 2 / /�7'I�l� E-MAIL J p
CONTRACTOR f V �J
CITY �!l'Jrr. Lic,„? $ ZIP /���
LA/A-
" FAX
WA STATF.Q`0 TRACTOR'S 1 CENSE. EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Ic
NAME n 1f cYT Z l� V PRIMARY PHONE
APPLICANT MAILING ADDRESS cav E-MAIL
CITY f N STATE ZIP FAX
�
PROJECT CONTACT NAME P( L� 1 c PRIMARY.-
2 5 y'2
(The individual to receive and MAILING ADDRESS E-MAIL G L S
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING D OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in
the investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to city as apart of t application.
SIGNATURE: DATE
PRINT NAME:
Bulletin#100—January 1,2013 Page 1 of 3 k:\I-Iandouts\Pennit Application
• S
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
moi.( �, r r /r /// / r /// // r/ /�// ✓; '%' %F% /-rf,/,�br riJ ,� /
FIRST FLOOR(or Mobile Home)
f'/r ry' e it ///F`��/1 fJ�:',^fr'l / r. f// /k/Jv' %�'�i PiOjy - r/ -;'./r,"
'o ri � ,,;/%.Fi; 'f yr , el$ 1`,,Wye// r,�i,,' ,r ,r,i�i� 727,017,1`4,q7'0%--)
COVERED ENTRY
��:ge /r /F/4"f�`r�WtrV4e�r/"��' '`,�jr��* t.Vr'r,:r/ ------.._._.._._._..___.._._..._..----..................._.........._............._.....-------------...._
'fix/7.7;10,,W if% '; 1 ,r%.?F 1L// /'�,✓.r�. ,i,Ham.,^ > �J,;1.i3rfrll./ .G'^.Ur�lr l'/f�r .i-�� ' .—._—_.__.__.._..._....___._.__....._._...._..—__......._._.._......._......_—.._...—._........ ...—...._..�..._................
GARAGE 0 CARPORT 0
Jd
r 1C R R( m 4 / / r*p7 / '
/ / y
,
/,; i
EXISTING PROPOSED TOTAL
Area Totals �y
/ .Jii :; //, ",` /2„/r`2 2/2/P &0. 1 Zr',Vg'%%:"/`/f !/,`>s,/,!,i -/%'
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
.,,%/ 5A 15. r ` / Er ri r r J ,Jr r '„'r %f/ /✓ fif/'{ r l✓,: '�/,r`f.” ;J, .,i
' e �
:%%%%e%/4%v;‘,'/ %/J F/r„ ,/,r/ /�.„�//�'Fr ✓r`,///"yj"'', // �r i,' r;J ,// an/,CJ/%72222 ``,!� /l�J `%) /% :r
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
, > 4,777'077:75:;,'7/,
o '!.� // ,f,. /j '%/.✓/5�j/r//� /''/'"
Ora 5!r ^- �'/a'ri� .,, r/r/;,.ih "','7/,,`d t'if,./ % ,1 / ,r,,;,, ,� lO/; r V;rl; Jy., 7ty/ fry,
TENANT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application